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  • Title: Mycobacterial cervical lymphadenitis: a persistent diagnostic problem.
    Author: Alleva M, Guida RA, Romo T, Kimmelman CP.
    Journal: Laryngoscope; 1988 Aug; 98(8 Pt 1):855-7. PubMed ID: 3398662.
    Abstract:
    The most common manifestation of mycobacterial infection encountered in otolaryngologic practice is cervical lymphadenitis. Mycobacterial cervical lymphadenitis, or scrofula, remains a diagnostic and therapeutic challenge because it mimics other pathologic processes, and because of the inconsistent reliability of physical and laboratory findings. Twenty-five cases of scrofula were treated at our institution from 1973 to 1986. Positive chest x-ray was exhibited by five (20%) patients. Histologic examination of the excisional biopsy was the most reliable test with 100% positive specimens. This study emphasizes the marked variability in clinical presentation of scrofula and the importance of surgical excisional biopsy for histologic diagnosis.
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